Apply for a Community Benefit Grant

Please complete application form below by 4 p.m. on the dates below: 

  • March 8
  • May 31
  • September 6
  • November 15

Applicants will be notified within four weeks if they will receive a grant.

The following documentation is required to be attached to your application.

  • IRS letter of determination 501(c)(3)
  • Names of your organization's board members, terms of office and compensation, if any
  • List of key staff members and your organizational chart
  • Completed grant application form
  • One example of each of the following (if available):
    • Annual report
    • Organizational brochure
    • A balance sheet and income statement covering your organization's most recently completed fiscal year

Please email all of the documentation to: ammornings@premierhealth.com

Start Your Application